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中医痰证研究的最新进展与展望

Recent Advances and Perspective of Studies on Phlegm Syndrome in Chinese Medicine.

作者信息

Zhang Zhiguo, Hu Jingqing

机构信息

Institute of Basic Theory, China Academy of Chinese Medical Sciences, No. 16 Nanxiao Road, Dongzhimennei, Beijing 100700, China.

出版信息

Evid Based Complement Alternat Med. 2016;2016:6463270. doi: 10.1155/2016/6463270. Epub 2016 Feb 14.

Abstract

This review paper summarized the current situation of studies on the essence of phlegm syndrome and relation between phlegm syndrome, diseases, and therapeutics based on published English articles. In studies on the essence of phlegm syndrome, omic technologies were used to explore the molecular basis of phlegm syndrome; in studies on relation between phlegm syndrome and diseases, discovery of markers of phlegm syndrome in diseases becomes a hotspot; the distribution of phlegm syndromes in some common chronic diseases was found; in the therapy of phlegm syndrome, two therapeutic models, treatment with CM formula and treatment with a combination of CM formula and Western medicine, were used most frequently. It is certainly that using one omic technology is not able to deal with the complexity of phlegm syndrome and that the use of a combination of multiple omic methods will be a trend in future studies. Meanwhile, for rapidly increasing clinical research quality of phlegm syndrome, a series of agreed criteria, such as syndrome diagnostic criteria and efficacy criteria clinical studies of phlegm syndrome, needed to be established urgently, and there was an urgent need of standardizing syndrome names in English.

摘要

这篇综述文章基于已发表的英文文献,总结了痰证本质以及痰证与疾病、治疗之间关系的研究现状。在痰证本质的研究中,运用组学技术探索痰证的分子基础;在痰证与疾病关系的研究中,发现疾病中痰证的标志物成为热点;明确了痰证在一些常见慢性病中的分布情况;在痰证的治疗方面,使用中药方剂治疗和中药方剂与西药联合治疗这两种治疗模式最为频繁。当然,仅使用一种组学技术无法应对痰证的复杂性,多种组学方法联合使用将是未来研究的趋势。同时,为了快速提高痰证临床研究质量,迫切需要建立一系列公认的标准,如痰证的证候诊断标准和疗效标准等临床研究标准,并且急需规范痰证英文证候名称。

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